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Saturday, May 161 - Change Management in Turbulent TimesTrack: LeadershipHealth Center leaders and staff face unprecedented challenges managing change in this turbulent environment. This interactive hands-on workshop will address methods and tools for managing change using simulations, case studies and small group exercises. Participants will learn about personal mastery techniques, will explore techniques to influence and change behaviors, and will explore approaches to driving organizational change. Learning Objectives1. Describe a change model and how it might be applied to a relevant challenge in your daily work. 2. Apply change concepts to a personal challenge. 3. Develop a roadmap for leading change in your organization.Presenter: Dr. Kathy Reims, CSI Solutions, LLC

2 - Behavioral Health Consultation Model in PCMH Track: Behavioral Health/PCMHCEUs: 3 CME, 3 CNE, 3 CDE This presentation will provide participants with an overview of the Primary Care Behavioral Health (PCBH) model, a group of specific strategies for bringing behavioral health services into primary care. The PCBH model aligns well with the central components of the Patient Centered Medical Home and creates new opportunities for efficient delivery of preventive, acute and chronic care services. In this approach, a Behavioral Health Consultant (BHC) works as a general-ist providing evidence-based brief interventions to patients of all ages and for all types of problems. Most often, patients see the BHC on the day of their medical visit. Participants will use a core competency tool specific to their discipline to identify learning targets and then practice new skills such as Behavioral Interviewing. PCMH teams are encouraged to attend and work together in developing greater mastery of skills fundamental to addressing behaviorally influenced problems among primary care patients.Learning Objectives1. Describe the core features of the PCBH model, using the GATHER mnemonic. 2. List the six domains of competence for primary care and behavioral health members practicing in the PCBH model. 3. Identify targets for improving skills fundamental to PCBH practice.Presenters: Patricia Robinson, PhD, Mountainview Consulting and Jeffrey Reiter, PhD, Swedish Medical Center

3 - Board Roles and Responsibilities Fundamentals Track: GovernanceCEUs: 6 GOVNew board members need to understand their governance respon-sibilities. The first half of this interactive workshop will focus on the unique role of a board member and the nine specific governance requirements of the (FQHC) Community Health Center program present within the overall 19 Program Requirements. Strategies and tools for effective governance will be presented. A segment in the second half of the workshop will address Healthcare Reform (ACA) and its impact on CHCs and their board members. Essential strategies and emerging payment models will be discussed by an expert guest. (This workshop can also serve as a refresher for more experienced board members.)Learning Objectives1. Define the nine responsibilities of community health center boards. 2. Understand the changing role of boards and the link between great governance and organizational performance. 3. Analyze key components of the Affordable Care Act impacting care delivery in 2015 and identify healthcare reform challenges and strategies.Presenters: Kimberly McNally, McNally and Associates and Adele Allison, DST Health Solutions

4 - Demonstrating Compliance through Service Area Competition (SAC) Grant Application Track: OperationsCEUs: 3 CPEWhen HRSA unveiled the new three-year §330 grant cycle, the compliance focus for most grantees became the Operational Site Visits (OSV) that the Bureau conducts mid-way through the new shortened project period. The Service Area Competition grant is another major compliance checkpoint, and a poor SAC applica-tion could result in avoidable conditions of award. This workshop breaks down which SAC grant areas in the narrative, along with the budget, forms and attachments, are used to measure grantee compliance with each of the 19 Program Requirements. Learning Objectives1. Understand HRSA’s use of the SAC grant to verify compliance with the 19 Program Requirements, the consequences of non-compliance and how to avoid conditions of award. 2. Understand how to demonstrate compliance with the 19 PRs through the SAC narrative, forms and attachments. 3. Be able to create a work plan for SAC grant completion that highlights areas of concern related to the 19 PRs.Presenter: Rebecca Johnson, Health Center Solutions

SESSION DESCRIPTIONS

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5 - Understanding Charge Setting/Charge Capture Strategies/Maximizing KPI Track: Fiscal/BIXCEUs: 3CPEToo many health care professionals believe charge entry is just entering diagnosis and procedural data. Seasoned revenue cycle management (RCM) professionals know better. Complexities of 837-I vs. 837-P, NPI selection, POS, and private vs. governmental payer requirements — well, you get the idea. Learn how to optimize the process at your CHC.

What Key Performance Indicators (KPI) are mission critical? How do you compare to other CHCs? How can you use KPI to change behavior and optimize fiscal performance? Learn how to calculate important KPI. Learn why Payment Percentage affords little value beyond estimating the value of your AR. Learn why trending Net AR and Encounter Rate may be the two most significant KPI worthy of your attention. Learning Objectives1. Understand charge capture variation of 837-1 vs. 837-P. 2. Explain "clean claim" vs. "first pass" rate success.3. Know how to use standard practice management data to calculate and maximize KPI.Presenter: Ray Jorgensen, PMG

6 - Patients with Substance Use Disorders: what primary care providers and teams need to know Track: Behavioral Health/PCMHCEUs: 3 CME, 3 CNE, 3 CDE As we implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) in our communities, primary care practices are increasingly aware of and responsive to issues of substance use in their patients. This session introduces PCPs to the field of addic-tion medicine and the addictions treatment system. Topics include the epidemiology, neurobiology and natural history of addictions, and evidence-based behavioral and pharmacologic interventions to treat substance use disorders in the primary care setting. Ad-ditionally, the session provides an overview of the addictions treat-ment system, which supports the ability of PCPs to coordinate with addictions providers and to understand the treatment experi-ence of their patients. Using an interactive, case-based format, this session frames addiction as a chronic disease, predicated on stages of change, self-efficacy and autonomy support. Providers will leave the session with enhanced motivation and confidence in addressing substance use disorders. Learning Objectives1. Describe essential neurobiological pathways that drive early- and late-stage substance use disorders. 2. Describe three behavioral and three pharmacologic strategies to treat substance use disorders in the primary care setting. 3. Describe the four basic components of the addictions treatment system.Presenters: Rachel Solotaroff, MD, Central City Concern and Ariel Singer, OHSU

7 - Bringing Clinic Operations in Line with PCMH StandardsTrack: OperationsCEUs: 3 CPEMany practices have attained PCMH recognition/accredita-tion over the past several years, and some are just beginning to examine what’s involved in practice transformation. This four-hour workshop will highlight the NCQA PCMH 2014 standards from the perspective of clinic operations and the impact on members of the care team and on practice leadership. Attendees will review the operational requirements needed to meet the new standards and develop an action-oriented plan to move forward. Learning Objectives1. Review the key concepts behind the six domains of the NCQA PCMH 2014 standards. 2. Understand the impact of clinic operations on successful practice transformation. 3. Apply new knowledge to develop an action-oriented work plan to aid the practice in its NCQA PCMH recognition application.Presenter: Bonni Brownlee, Brownlee Healthcare Quality Solutions

SEATTLE

Fall Primary Care ConferenceNWRPCA, CHAMPS and Western Clinicians Network

October 17–20, 2015

Join us for one of the nation’s largest gatherings of primary care providers and community health administrators. Spend four days immersed in educational sessions and peer networking alongside representatives of more than 130 community health centers from 14 western states.

www.NWRPCA.org/fall2015

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8 - Understanding the Complexities of the FQHC Revenue Cycle Track: Fiscal/BIXCEUs: 1.5 CPEFor most FQHC executives, medical billing and the revenue cycle are two commonly challenging areas of a community health center’s operations. The workflows and processes related to these areas can be very complicated and impact nearly every opera-tional component within a health center. With additional pressures and challenges from regulatory agencies and organizations, along with constantly changing guidelines and rules, leadership must determine how to better manage the revenue cycle which in turn may improve and sustain the health center’s fiscal health. As we enter into a new era of accountability, revenue management and compliance are at the forefront of organization sustainability. We will address key revenue cycle topics and put them in context with the current industry focus on compliance. Learning Objectives1. Describe key revenue cycle areas and key performance indicators. 2. Discuss recent and upcoming Medicare regulatory changes. 3. Highlight common billing compliance issues in the industry.Presenter: Monique Funkenbusch, BKD

9 - Financing Health Center Expansions through Public-Private Financing Track: Fiscal/BIXCEUs: 1.5 CPELearn about current financial resources available to health centers to finance renovations and expansions. This session will highlight the role that nonprofit lenders, foundations, private banks, and community development organizations can play in this arena. It will also cover how a health center can access and integrate fed-eral New Markets Tax Credits (NMTC) to finance facility projects at below-market interest rates and get up to 25% of debt forgiven at the end of the NMTC loan term. The Meridian Center for Health, a project currently under construction in North Seattle by Neighborcare Health, will be highlighted. This project is being financed using NMTCs, city, private and public resources, and the session will focus on the partnerships that were necessary to make this project successful.Learning Objectives1. Assess clinic readiness to pursue capital expansion, from both a clinic and a lender perspective. 2. Understand resources available to finance capital projects, including NMTCs (and how they work), nonprofit lenders, and technical assistance providers. 3. Understand the process of strategically planning for expansion projects.Presenters: Estee Segal, Capital Impact Partners; Dave Kleiber, Capital Link; Mark Secord, Neighborcare Health

Sunday, May 1750TH ANNIVERSARY OF THE CHC MOVEMENT10a - Health Centers Then and Now: Social Innovation through Health Care (a.m.)2015 marks the 50th anniversary of the health center movement, and it is not a coincidence that the earliest health centers were founded during a time of tremendous social change and political upheaval in U.S. history. In an interview from the 1960s, Dr. H. Jack Geiger describes the health center mission in the following way: “our concept of health is to make social change, (and) to build the institutions that can make social change and keep it going.” Today, with the passage of the Affordable Care Act and related health care reform efforts, health centers have an unprecedented opportunity to continue this legacy and shape the future of our health, wellness, and well-being. This session will examine historical perspectives of the health center movement and describe current efforts to advance the social mission of the movement. Learning Objectives:1. Describe the history and mission of the health center movement. 2. List current examples of innovative models to address the unmet social needs of health center patients. 3. Identify community development strategies and collaborations that can be leveraged to address social determinants of health. Presenters: Jack Thompson, Cedar River Group; Seth Doyle, Northwest Regional Primary Care Association; Charlie Alfero, Southwest Center for Health Innovation, Zoe Reese, Neighborcare Health, Alicia Atalla-Mei, Oregon Primary Care Association

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11- Nuka System of Care (Southcentral Foun-dation): Dynamics of Integrated Care Teams Track: PCMHCEUs: 1.5 CME, 1.5 CNE, 1.5 CDEIn partnership with the Alaska Native people, Southcentral Foundation developed the customer-owned and -managed, relationship-based Nuka System of Care and transformed its health care delivery system into an integrated customer-centric model. The success of this approach is largely due to the co-located, multidisciplinary integrated care teams, which consist of the primary care provider, the case manager, the certified medical assistant, and the case management support. This efficient, collaborative unit functions in approximately three feet of modular space, elbow-to-elbow, in constant communication around the electronic health record. Other disciplines, such as behavioral health consultants, dietitians, pharmacists and midwives, shared across several pediatric/primary care teams, are seamlessly woven into the teams. The dynamics of this unique arrangement fosters relationships and focuses on what the customer wants and needs. Learning Objectives1. Explore Southcentral Foundation's (SCF) Nuka System of Care. 2. Review the differences between traditional health care systems and integrated health care systems. 3. Illustrate the different Integrated Care Team roles and how they contribute to the team.Presenters: Steve Tierney, MD, and Troy Wolcoff, Southcentral Foundation

10b - Talking Community Health: Framing for Social Justice and Equity (p.m.)The mission of public health and the work of community health centers focus on creating conditions in which people can be healthy. This mission is fundamentally about social change. The goal of social change – creating a fairer, more just and thereby healthier society – is difficult to advance in public discussion because language to express the values animating that goal has not been adequately developed.

The everyday language of American culture is individualism. Howev-er, another language rooted in progressive social values that are com-mon to the American experience serves as the primary language of social change and public health. This is the language of community.

The language of community is rooted in social justice values and resonates with many Americans. Unfortunately this language is not easily articulated. Advancing a social change/public policy approach to the nation’s challenges requires using the language of community to bring to the surface the underlying core social justice values that are the basis for public health. Learning Objectives1. Compare and contrast individualism and social justice perspectives. 2. Understand in a concrete way the constructive tension between the underlying value systems. 3. Apply these different perspectives in considering approaches to the future mission of community health centers. Presenters: Lawrence Wallack, School of Community Health, Portland State University

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12 -Successful Team Care Management of Complex Patients' Needs Track: PCMHCEUs: 1.5 CME, 1.5 CNE, 1.5 CDESince 2012 Neighborcare Health has systematically identified high-risk patients through data collected from the EMR and other sources, and has provided Care Management services to these individuals. Care Managers work directly with patients to help assess needs, set goals, coordinate with other specialty providers, and frequently monitor progress. They meet regularly with a con-sulting psychiatrist and physician to review cases and determine the need for medication adjustments and other interventions, and their recommendations are implemented by primary care provid-ers. Preliminary data shows significant success toward reaching the Triple Aim with these challenging patients. Learning Objectives 1. Identify ways of gathering data about medically complex patients from your current systems. 2. Understand the model of care used to address this group of patients, and what resources you may have or need to do this work. 3. Understand the opportunities and challenges for sustainability of this population-based model.Presenters: Deborah Morrison and Cheryl Carp, Neighborcare Health and Emily Brandenfels, MD, Community Health Plan of Washington

13 - Recruitment and Retention of Board Members and CEOs (am) and Decision-making Skill Building for Experienced Board Members (pm)Track: GovernanceCEUs: 6 GOVCritical governance and leadership challenges require boards to evolve in new ways to guide their CHCs through profound changes. Building on the fundamentals of governance, the first half of this day will focus on best practices involved in recruitment and retention of effective board members and CEOs (including performance management and succession planning). The second half of the workshop will examine the core competencies of strate-gic decision making and related leadership skills. Learning Objectives1. Define best practices for recruiting and on-boarding board members. 2. List best practices to build an effective board/CEO relationship (including performance management and succession planning). 3. Understand the components of effective decision making.Presenters: Kimberly McNally, McNally and Associates and Claire Tranchese, Oregon Primary Care Association

14 - All Roads Lead to Quality Improvement Track: OperationsMuch emphasis is now placed on practice performance: Every grant or program in the health center has an element of perfor-mance measurement attached to it, and health plans are offer-ing pay-for-quality incentives. Practices often adopt the path of least resistance, working only with UDS requirements in a passive reporting format, and therefore attain little benefit from their efforts. In a true culture of quality, the health center applies quality metrics to every aspect of operation. An enhanced focus on quality often creates a significant burden for the health center, from the activities involved in “data chase,” to analyzing the data, and on to preparing a readable report. This 90-minute session will provide tips for organizing the improvement work to create a meaningful and sustainable QI focus in the health center. Learning Objectives1. Review the role of quality improvement in today’s health care environment. 2. Understand the difference between dynamic and passive reporting. 3. Apply new knowledge to enhance the practice’s approach to quality improvement.Presenters: Irma Murauska and Krista Collins, Oregon Primary Care Association; Bonni Brownlee, Brownlee Healthcare Quality Solutions

CareOregon salutes our partner NW Regional Primary Care Association

CareOregon’s Mission: Cultivating individual well-being and community health through

shared learning and innovation.

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15 - Beyond Population Health Management: Tools for the Transformation Journey Track: OperationsCEUs: 1.5 CME, 1.5 CNE, 1.5 CDEPrimary care clinics, especially safety net providers, are dealing with overwhelming requirements from payers, funders, and accreditation agencies. Population health management may be the opportunity that will help us become more sustainable and competitive. This session examines an Iowa health center’s population health journey, and how we manage many different populations in many different ways while trying to provide excellent care to all and avoid health disparities. We will discuss managed care, pay for performance qual-ity measures, QI initiatives to improve population health, tracking progress, negotiations with payers, interventions to improve quality of care, coordination between 2703 health homes and pilot behav-ioral health integrated health homes, and Accountable Care Orga-nization models. Participants will come away from this interactive session with tools to take back to their organizations and examine their current and future opportunities. Learning Objectives1. Understand the current and ever-changing reimbursement environment and expectations of primary care practices with regard to population health.2. Create strategies to optimize population health management opportunities in your state. 3. Discuss benefits and unintended consequences of Behavioral Health Integrated Health Homes and how to overcome barriers to coordinated patient care.Presenter: Chris Espersen, Primary Health Care

16 - Data for Improving Population Health: Collection and Application Track: FiscalCEUs: 1.5 CPEOne transformational aspect of the modern day practice is use of population-based practice analysis to improve care systems. Practice managers would not consider running their practices without meaningful financial and productivity data. In today's environment, practices must also provide meaningful clinical data that demonstrates both process and outcomes of care. UDS, PCMH, NQF, PQRS, NCQA, MU, and CPCI are an alphabet soup of reporting requirements at a state and federal level, and these are now being adopted by both public and third-party payers as well. Yet the real key to meaningful clinical data is to improve the patients' experience, both in quality and satisfaction. Practice leaders must understand fundamentals of quality management; tools to reinforce system change; team development among clinicians, operational managers, and data analysts; and the methods to integrate the program into an active clinical practice. Learning Objectives1. Provide a context for the probable future of health care.

2. Explain how data is going to be critical to this new environment. 3. Describe the process of building a set of quality indicators from the ground up, with an understanding of how each new question builds upon the previous inquiry.Presenter: Scott Fields, OCHIN

17 - Predictive Analytics: We know what you'll do next summer Track: Fiscal/BIXCEUs: 1.5 CPEPredictive analytics has become a vital part of many customer attraction, service and retention efforts. The ability to identify risk and make better data-driven decisions is no longer a competi-tive edge but an expectation in both the business and the clinical outcomes of health care.Learning Objectives1. Learn about the development of Predictive Analytics in order to understand its application in the business environment. 2. Learn how to implement Predictive Analytics as a health care operations tool and resource. 3. Examine how Predictive Analytics could affect your daily operations and how to best respond to findings.Presenter: Jonathan Chapman, Louisiana PCA

PORTLAND

February 23 – 25, 2016

www.NWRPCA.org

Western Forum for Migrant and Community Health2016

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18 - Integrating Health and Housing Services for High Risk Populations Track: PCMHHousing stability is an obvious prerequisite for good health out-comes, as the homeless have some of the lowest life expectancies of all populations. This presentation will describe a model where housing, outreach and health care providers effectively work together and across programs to maximize their expertise and improve the health outcomes for their homeless patients. Informa-tion will also be provided on how to access many state and federal programs, such as Apple Health, HEN, Health Home, McKinney housing, and respite care. Whether working through your own organization or with other organizations, partnerships between service providers using practical approaches can reduce duplica-tion, facilitate better communication, and improve outcomes for this fragile population.Learning Objectives1. Define practical approaches to access services for homeless clients and for working across programs. 2. Describe how to access many state and federal programs, such as Apple Health, HEN, Health Home, McKinney housing, and respite care. 3. List the benefits of embedding housing and outreach staff with health care workers serving homeless patients.Presenters: Rhonda Hauff, Annette Rodriguez and Nancy Schwarzkopf, Yakima Neighborhood Health Services

19 - Integrated Care in Permanent Supportive Housing Track: PCMHCEUs: 1.5 CME, 1.5 CNE, 1.5 CDEIndividuals with housing insecurity and those experiencing homelessness face significant barriers to accessing health care. This model of Permanent Support Housing addresses these barriers by linking care services with supportive housing. This session will include the video "Telling Our Stories,” and a discussion of the HHOT care model and critical partnerships with diverse service providers as practiced at a community health center, bringing the "community" back into health care.Learning Objectives1. Understand the integral role of primary medical/health home care services and their link to permanent supportive housing.2. Learn how the social determinants of health can create barriers to accessing care and how place-based medicine can address these barriers. 3. Understand best practices for coordinating and integrating care in community settings in partnership with diverse service providers.Presenter: Tricia Madden, Neighborcare Health

20 - ACA: Essential Strategies and Emerging Payment ModelsTrack: OperationsCEUS: 1.5 CPEThe Affordable Care Act (ACA) is moving into full swing with the market drastically changing for community health centers, hospitals and health care professionals. This session will discuss key developments in health care reform that will shape how care is delivered and reimbursed as we move forward. Adele Allison will explore the cornerstones of this law and the industry trends it has created, including performance measuring through clinical report-ing, value-based purchasing through models such as the account-able care organization, and patient engagement requirements. Providers and executives who can navigate the restructuring underway will be in the strongest position to impact quality of care for patients in their communities. Join this session to gain insights into how technology and novel payment models are transforming the paradigm of care delivery. This session will provide healthcare professionals with just-in-time information about ACA implica-tions to help in forward-thinking strategic planning. Learning Objectives1. Analyze key components of the Affordable Care Act impacting care delivery in 2015. 2. Compare market approaches being adopted for measured performance improvement. 3. Integrate health care reform requirements with competing clinic priorities and prepare for value-based purchasing.Presenter: Adele Allison, DST Health Solutions

MANAGING AMBULATORY HEALTH CARE I

Introductory Course for Clinicians in Community Health Centers

June 15–18, 2015Portland, Oregonwww.nachc.com/MAHCCourses.cfm

Managing Ambulatory Health Care I: Introductory Course for Clinicians in Community Health Centers (MAHC I) is the first in a series of four Managing Ambulatory Health Care (MAHC) training courses offered by the National Association of Community Health Centers (NACHC). This four-day course goes beyond the basics of being a new clinical director in a FQHC. This course focuses on skills that are essential in the community health center environment. You will learn specific management skills that are essential in the community health center environment.

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21 - Healthcare by the Numbers: A Decade of ChangeTrack: OperationsCEUS: 1.5 CPEThis decade is one that has seen more changes in healthcare than providers could have possibly imagined! As we hit the midpoint, what do the numbers and trends reflect? This session will explore the numbers over time to give you insight into reform progress … or lack thereof. Join Adele Allison as she explores trends in the U.S. by the numbers for such topics as the American patient, Community Health Centers, HIPAA, Meaningful Use, the Inter-net of things, emerging payment models, and cool new technolo-gies. Adele will review data compiled from various reliable sources to offer key insights and a snapshot of the market-driven impli-cations for such issues as patient engagement, chronic disease management, health IT adoption and reimbursement reform. Learning Objectives1. Describe fundamental trends in healthcare delivery and reimbursement post-Affordable Care Act. 2. Identify the market implications of key industry developments. 3. Measure how industry trends influence your organization so that leaders can position accordingly.Presenter: Adele Allison, DST Health Solutions

22 - Why Some Health Centers FailTrack: Fiscal/BIXCEUs: 3 CPEOne of the strengths of the health center industry is the time-tested business model that provides the framework for the opera-tions of all health centers across the country; it’s what makes them all similar even if there are differences in the details of the model within and between states. Despite this similarity, we all know that financial results from center to center and state to state can differ dramatically.

This session will review the results of a recent Citi Foundation-funded study by Capital Link of over 800 centers nationwide that delved into the reasons why some health centers struggle more than others. Participants will learn about the key financial and operational factors that led to severe financial distress at a subset of health centers over the last twelve years—and suggest metrics and trends that every health center should monitor to identify problems before they become unsolvable. Learning Objectives1. Understand the key financial/operational reasons why some health centers were forced to merge or close their doors. 2. Identify the operational metrics one would expect to influence financial stress but appear not to have. 3. Potentially add key new metrics to the health center’s dashboard.Presenter: Dave Kleiber, Capital Link

Monday, May 1823 - Community Health Needs Assessment: A Vehicle for Achieving Health EquityTrack: CHI/O and EThe Affordable Care Act includes numerous provisions that are explicitly intended to reduce health disparities and improve the health of medically underserved populations. The most recognized of these provisions is the expansion of health insurance coverage. Lesser known provisions are those that seek to address the underlying socio-eco-nomic and environmental conditions, or social determinants of health, that perpetuate health inequities. The key to understanding how these conditions affect health is a comprehensive community health needs assessment (CHNA). Under the Affordable Care Act, CHNA are a requirement of public health agencies and hospital organizations. Community health centers are also required to conduct needs assess-ments as part of their funding from HRSA. This session will review the principles of a CHNA and examine strategies for CHCs to collabo-rate with other entities in order to foster broader community health improvement strategies and strengthen collective impact. Learning Objectives1. Identify provisions in the ACA that support health equity. 2. Identify community health needs assessment principles and collaborations that can be leveraged to advance community health improvement plans. 3. Identify strategies that can facilitate the integration of a social determinants of health framework into a community health needs assessment. Presenter: Pamela Byrnes, John Snow, Inc.

ANCHORAGE

Spring Primary Care ConferenceAND ANNUAL MEMBERSHIP MEETING

2016 NWRPCA

May 14–17, 2016

www.NWRPCA.org

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24 - The Community Apgar Project: An Evidence-Based Tool for Improving Communities' Recruitment and Retention of PhysiciansTrack: HR/WorkforceCEUs: 1.5 HRCommunity factors play a key role in the recruitment and reten-tion of physicians to rural and underserved healthcare settings. The Community Apgar Program (CAP) was developed by researchers, educators and clinicians at the Family Medicine Residency of Idaho and Boise State University, helping to organize these community factors for action on both a macro and individual community level.Learning Objectives1. Identify community strengths and unique opportunities for improvement in CHCs and Critical Access Hospitals related to recruiting and retaining physicians. 2. Understand state or regional patterns impacting physician supply which can be addressed at the macro level. 3. Review findings from the national database to facilitate broader understanding of important issues related to physician recruitment and retention.Presenter: David Schmitz, MD, Family Medicine Residency of Idaho

25 - FTCA Coverage for Health Centers: Do We Need Gap Insurance?Track: OperationsCEUs: 1.5 CPEFederal Tort Claims Act (FTCA) coverage is extremely important for health centers and can even mean the difference between financial viability and ruin. Failure to achieve deemed status, which is a confusing process, can leave the health center without profes-sional liability coverage. Even with deeming status, health centers can face issues that put their coverage in jeopardy. This session will examine some of the requirements to obtain deemed status, the claims process, and some of the pitfalls that can leave a health center without coverage. We will also discuss the usefulness of Gap Insurance coverage.

Learning Objectives 1. Understand the intent of the FTCA and deeming requirements. 2. Understand the FTCA claims process. 3. Assess the pros and cons relating to the need for Gap insurance liability coverage.Presenter: Michael Gervasi, DO, Florida Community Health Centers

26 - Community Health Advocacy in the Post-ACA EraTrack: Policy/EnvironmentThe Community health center program has experienced unprec-edented growth since the passage of the Affordable Care Act. In 2015 health centers are expected to serve 28 million patients through 1,300 community-governed health center organizations. Those who know about health centers know that the access to care they provide is the answer to many of this country’s health care problems. However, the Affordable Care Act Trust Fund, an $11 billion investment in health centers, expires Sept. 30, 2015. Fortu-nately, the recent passage of H.R. 2 stabilizes funding for health centers for the next two years, as well as the National Health Ser-vice Corps and Teaching health centers. With continued uncertain-ty about the future of funding, health centers need to be informed and prepared to take action in order to continue providing high-quality health care to their patients. This session will review critical information related to the funding of the health center program and engage participants in a discussion of strategies to incorporate community health advocacy into their daily operations. Learning Objectives:1. Explain funding for the health center program. 2. Understand how to get involved in advocacy campaigns to address funding for the health center program and programs vital to health centers such as the Children’s Health Insurance Program, National Health Service Corps, and Teaching Health Centers.3. Describe strategies for developing an advocacy infrastructure so as to be prepared to take action on policy issues important to health centers. Presenter: Joe Gallegos, NACHC

“NWRPCA banks confidently with Homestreet Bank.”Bruce GrayChief Executive OfficerNWRPCA

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27 - New Payment Innovation DesignsTrack: FiscalCEUs: 1.5 CPEFive years post-Affordable Care Act (ACA) we find a plethora of pilot programs from accountable care organizations to health homes and bundled payments. To balance the growth in demand for services with healthcare supply and utilization, we are undergoing a paradigm shift in provider and patient cultures. Whether intended or not, the market is consolidating to produce community-based ecosystems. Logically, there should be interconnectedness between various components of an ecosystem, including insurance, payment, delivery, patient experience and outcomes, all tied to appropriate costs or spending. Done right, the community model of care delivery creates tremendous value and is a strong contender to accept risk-based contracts — a growing demand by payers and even consumers of healthcare. Learn the fundamentals associated with risk-bearing arrangements including capitation, bundled payments and gainsharing. Learning Objectives1. Describe the fundamentals of risk-bearing payment design. 2. Evaluate new payment innovation initiatives. 3. Explain how to respond to and lead change in modernizing reimbursement strategies.Presenter: Adele Allison, DST Health Solutions

Roundtable Lunches28 – PCA Staff Roundtable Lunch29 – Clinicians Roundtable Lunch30 – HR Roundtable Lunch31 – Operations Roundtable Lunch32 – CEO Roundtable Lunch33 – CFO Roundtable Lunch

34 - From the Clinic to the Community: Integrating Community Health Workers to Improve Population HealthTrack: CHI/O and ECommunity Health Workers (CHWs) are frontline employees who assist individuals and communities in improving health outcomes and increasing access to appropriate healthcare resources. As members of the primary care team and the community, CHWs are uniquely able to provide the ongoing support that is needed to improve health and social outcomes. This workshop will explore innovative programs that two community health centers have developed to integrate CHWs as part of their clinical and community-based initiatives. Presenters will explore the various roles that CHWs play, including working as part of a patient-centered medical home team and community-based work within schools and a public housing development. Learning Objectives1. Define the roles of Community Health Workers in both clinical and community-based settings. 2. List examples of three health outcomes that can be improved through Community Health Worker interventions. 3. Describe four community wellness activities facilitated by Community Health Workers.Presenters: Nuha Elkugia and Senait Gebregiorgis, Neighborcare Health; Kelly Volkmann, Benton County Health Services

35 - Being an Employer of Choice: Attracting and Retaining Quality StaffTrack: HR/WorkforceCEUs: 1.5 HRFQHCs historically have struggled with attracting and retaining qualified professional and support staff. This often leads to staff frustration, poor employee morale, and productivity issues. This session will examine some of the factors contributing to recruitment and retention problems as well as ways to address them. It will also look at one center’s approach to becoming an employer of choice.Learning Objectives1. List some of the obstacles to attracting and retaining qualified employees. 2. Identify strategies for building a happy, qualified workforce. 3. Describe how to implement strategies to become an employer of choice.Presenter: Michael Gervasi, DO, Florida Community Health Centers, Inc.

Your Mission. Your Patients.Our Focus.

541-382-3590 | www.jrcpa.com/fqhc

Our specific expertise in health care and nonprofits makes us a great fusion of experience for Community Health Centers. We speak FQHC.

• Annual audited financial statements

• A-133 Compliance Single Audit

• 330 Grant Program Compliance Audit

• Preparation and submission of the Data Collection Form

• Preparation of Federal Form 990 and applicable state tax returns

As the leader of Jones & Roth’s FQHC team, Brian holds expert knowledge in Federally Qualified Health Centers, governmental and not-for-profit audits, and Comprehensive Medical Practice Analysis.

Brian G. Newton, CPAbnewton@jrcpa.com

Mathew is a Nonprofit niche leader with Jones & Roth and a member of the FQHC team. He has a broad range of experience in assurance and taxation for Nonprofit organizations. He enjoys working with FQHCs and is passionate about their mission.

Mathew Hamlin, CPAmhamlin@jrcpa.com

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36 - Improving Patient Health Scores Using “Health.Point” Assessment ToolTrack: OperationsCEUs: 1.5 CME, 1.5 CNE, 1.5 CDEPatient-centered care begins with motivating patients to actively improve or maintain their health and having an objective, easily understood way to measure progress. In this session HealthPoint clinicians will demonstrate their innovative approach, using their health assessment tool “Health.Point” to stratify patient health risks and complexity. They then tailor the recommended healthcare team, the focused lifestyle interventions and the care coordination for their patients. As a result of their pilot project, they have seen an in-creased use of their interdisciplinary services, including conventional medicine, naturopathic medicine, behavioral health, care coordina-tion, dental and pharmacy, as well as improvement in patient overall health scores and greater effectiveness of the health care teams.Learning Objectives1. List three benefits to patient care from using a patient health assessment tool to identify patient complexity. 2. List three benefits to patient satisfaction from using a patient health assessment tool to broaden the health care team and communicate between disciplines. 3. List three benefits to team building from using a patient health assessment tool that is easily understood by all staff.Presenters: Cindy Breed, ND, and Judy Featherstone, MD, HealthPoint

37 - The Complex World of Immigration Policy and its Impact on Health Center Patients and ProvidersTrack: Policy/EnvironmentThe already complex area of immigration law and immigrant ac-cess to public benefits has become even more so with President Obama's November 2014 administrative actions on immigration. With the population of immigrants growing in the region served by NWRPCA, it is important that health center staff understand the status of immigration law and policy and how immigration law and policy impact the provision of a center's services from outreach and intake to the provision of direct services.

This session will provide an "Immigration Policy 101" overview and then discuss in detail the initiatives taken by the Administration, including the Deferred Action for Childhood Arrivals (DACA) program from 2012, and the newly proposed DACA expansion as well as the Deferred Action for the Parents of Americans and Lawful Permanent Residents (DAPA) program. While the core of this workshop will be focused on immigration policy, it will also provide an overview of how immigrants are eligible (or not) for key federally funded health programs.Learning Objectives1. Understand current immigration policy and the provisions of the new administrative policies and how they affect immigrant families.2. Design outreach services and health programs to maximize immigrant access/participation and minimize confusion in the community.3. Explain current immigration policy to community health center patients, try to correct misunderstandings, and protect families from unscrupulous individuals.Presenter: Roger Rosenthal, JD, Migrant Legal Action Program

38 - Sliding Fee: Compliance with the 2014 PINTrack: Fiscal/BIXCEUs: 1.5 CPEWhen HRSA released PIN 2014-02 during September of 2014 the intent was to provide clarification on the sliding fee discount program and related billing and collection requirements. This ses-sion will cover the general requirements, the role of governance, fee schedules, and billing and collection considerations. In addi-tion the session will compare sliding fee and billing and collection practices from FQHCs across Region X.Learning Objectives1. Understand the requirements of PIN 2014-02.2. Discuss the intent and expectations of the PIN.3. Acquire new practices for potential implementation at your health center.Presenter: Kyla Delgado, CLA

Community Clinic and Health Center Business Services

• CLINIC CAREERS

• CLINIC LIBRARY

• GRANT TRACKER+

• PATIENT-CENTERED HEALTH HOME

• RESOURCE GUIDE

• REVENUE CYCLE MANAGEMENT

We offer discounted and tailored fee-based services to enhance the operational, financial and clinical capacity of CCHCs.

www.cpca .org

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Tuesday, May 1939 – Health Center TourVisit Central City Concern, an agency that offers housing, health care and job support to single adults and families in the Portland metro area who are impacted by homelessness, poverty and addictions.

40 - The Nuts and Bolts: A Deep Dive Enrollment TrainingTrack: O&ESome healthcare insurance applicants have situations that can eas-ily be accommodated by Marketplace websites. However, many families have a certain income, family structure, employment sta-tus, or other circumstances and health needs that require specific strategies to ensure they receive an accurate eligibility determina-tion and find the right health plan. Minimizing gaps in coverage for consumers who experience major life events during the year and being able to determine eligibility for financial help are essen-tial to ensure people can gain access to and maintain affordable and comprehensive coverage. This session will highlight some of the key factors and workarounds assisters can use for complicated cases, emerging trends in health plans sold in the Marketplace, and things to consider when assisting a client in selecting a plan.Learning Objectives1. Describe strategies for serving consumers with complex eligibility situations. 2. List ways to minimize gaps in coverage for consumers transitioning into the Marketplace.

3. Explain how to determine eligibility for consumers to receive financial help through the Marketplace.Presenters: Dave Chandra, Center for Policy and Budget Priori-ties; Zach Baron, Enroll AmericaSponsored in part by

41 - Empowering Patient Care Teams for ExcellenceTrack: HR/WorkforceCEUs: 1.5 HREstablishing a true culture of quality in an organization is not possible without first capturing the attention of the staff. A new focus on patient-centered care and improving health care quality is challenging health centers to formally adopt a family of metrics and to demonstrate improvement over time in a variety of domains. Much of the improvement work occurs---directly and indirectly--- at the patient care team level. This 90-minute session will focus on leadership’s role in empowering teams to innovate and pave the way to improvements in care delivery, clinical outcomes, and patient satisfaction. Learning Objectives1. Explain the roles of the multidisciplinary patient care team. 2. Describe key concepts that leaders must endorse in order to empower the clinical team. 3. Discuss ways to link the care team to performance improvement in your health center.Presenter: Bonni Brownlee, Brownlee Healthcare Quality Solutions

NWRPCA serves community health centers with the latest knowledge, skills and best practices for success.

Do you have innovative processes or practices that may be of interest to your CHC colleagues, especially other CEOs, financial, operations, HR, IT and outreach staff, as well as clinicians and other providers?

We invite you to submit your presentation ideas in our online abstract submission portal by June 19, 2015.

Be recognized as a leader in the CHC community and beyond.

Call for Abstracts for 2015 NWRPCA/CHAMPS Fall Primary Care Conference Seattle—October 17–20, 2015

»» Reorganizing to meet the needs of more patients»» Quality Improvement»» Workforce Development (Recruitment and Retention)»» Service Integration (particularly Behavioral Health)»» Population Health Transformation»» ICD-10 Implementation»» Meeting 19 Program Requirements»» Patient Center Medical/Health Home implementation»» Practice Transformation»» Patient Engagement and Satisfaction»» Health Outcomes Measures»» Telehealth, Remote Monitoring»» Emergency Preparedness»» Customer Service»» Clinical Topics related to CHCs

»» Community Needs Assessments»» Sliding Fee Scale »» Social Determinants of Health»» Healthy People 2020»» Financial Sustainability »» Accountable Care Organizations»» Alternative Payment Methodologies»» Lean Systems Analysis»» Best Practices in Purchasing»» Managing Chronic Diseases»» “Grow Your Own” Provider Education»» Precepting Skill-building»» Advocacy in a polarized environment»» Community Health Improvement»» Coding and Billing for CHCs»» Leadership Skill-building

Topics of Interest (though not limited to):

For more information, visit www.NWRPCA.org/submit_abstracts.

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42 - Health Information Exchange InteroperabilityTrack: Operations/ITCEUs: 1.5 CPEImagine if banking were managed the same way as health care. You would have to pick up proof of your balance and carry it to the store for a large purchase; bill paying would still be a paper, manual process; and there would be no such thing as wire trans-fers. Health information exchange (HIE) remains a challenge as stakeholders work to build infrastructures, establish standards and adopt new technologies. This session will discuss the role interop-erability plays in care coordination. Adele Allison will debate the pros and cons of various transports, including direct messaging required under Meaningful Use, query-based exchange, and the newly proposed FHIR protocols. Join us as we examine the state of the industry and barriers and solutions to sharing health information between disparate systems electronically to create a longitudinal view of the patient’s health record.Learning Objectives1. Describe the current trends in health care interoperability in the U.S. 2. Discuss how to apply the HIE guiding principles to develop use cases. 3. Identify established and rising HIE transports and standards.Presenter: Adele Allison, DST Health Solutions

43 - Health in All Policies: A Framework for Advancing EquityTrack: Policy/EnvironmentThe health of individuals and communities is largely shaped by the physical, social, economic, and services environments in which people live, work, play, and learn. The decisions and policies that create healthy or unhealthy environments are generally made by agencies outside of the health and healthcare sector. Health in All Policies is a collaborative approach to improving the health of all people by incorporating health considerations into decision-making across sectors and policy areas. Health in All Policies is a strategy to promote health, equity, and sustainability across the whole of government. This workshop will address the need for Health in All Policies, give examples of Health in All Policies in California and other states, and explore some key approaches to getting started on Health in All Policies implementation. Learning Objectives1. Describe the social determinants of health, and explain how Health in All Policies is a tool to promote health, equity, and sustainability.2. Identify several strategies for building cross-sectoral relationships and avenues for embedding health and equity into existing government processes.3. Identify some exercises and tools for use in a Health in All Policies initiative.Presenter: Linda Rudolph, Public Health Institute

44 - Regional Benchmarking: Understanding Your Data Track: Fiscal/BIXCEUs: 1.5 CPEThis session will look at the Region X data and move toward identifying trends and forecasts. In addition we will discuss how to implement benchmarking as part of your daily management of practice. We will look at distinguishing factors for CHC success and the potential impact of industry changes on CHCs. Learning Objectives1. Emphasize the importance of understanding benchmarking as CHCs create a strategic plan.2. Examine the trends that are apparent within the Region X data.3. Discuss upcoming impacts to the health centers from an industry standpoint.Presenters: Dan Frein and Kyla Delgado, CliftonLarsonAllen

45 - Outreach and the Special Enrollment Period: Maintaining Services and Prepping for OE3Track: O&EThis interactive session will provide a venue for participants to discuss practice outreach strategies to maintain services between open enrollment periods. Knowing which consumers were reached and who the remaining uninsured are will help O&E workers target and enroll the eligible during the Special Enrollment Period. Obtain post-enrollment support tools, hear tactics on how to effectively use time between open enrollment periods and understand the regional and national landscape of the outreach and enrollment efforts.Learning Objectives1. Understand the NW regional and national outreach and enrollment landscape post-open enrollment 2.0. 2. Identify consumers targeted and enrolled and identify the remaining uninsured. 3. List strategies for effectively using the time between Open Enrollment periodsPresenters: Jessica Kendall, Families USA; Ezra Watland, Enroll AmericaSponsored in part by

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46 - Are Medical Scribes Appropriate for your Primary Care Clinic?Track: HR/Workforce CEUs: 1.5 CME, 1.5 CNE, 1.5 CDEThe use of medical scribes has emerged as a way for doctors and clinics to improve efficiency, patient satisfaction, physician retention and recruitment, and clinic revenue. Scribes perform documenta-tion and other clerical tasks. Delegating these tasks to appropriately trained scribes frees doctors to perform higher-level tasks. This presentation will review the costs and benefits of implementing a scribe program, real-world results from case studies, the differences between in-house and outsourced solutions, and pertinent literature.Learning Objectives1. Evaluate the benefits and potential impact of implementing a scribe program on clinic finances, culture and compliance, as well as on patient and physician satisfaction.2. Understand scribe history, best practices, metrics and limitations. Evaluate the contract terms, financing models, common pitfalls and vendor selection. 3. Estimate outcomes from in-house, ED, and customized programs. Calculate clinic ROI under different staffing models. Presenters: Joshua Hurwirtz, MD, and Warren Johnson, MN, RN, Scribe-X

47 - Expanding Access for Medicaid Patients through TelehealthTrack: Operations/ITCEUs: 1.5 CME, 1.5 CNE, 1.5 CDEThe Medford Oregon Telehealth pilot project enables Medicaid patients to conveniently connect with licensed clinicians (Fam-ily Nurse Practitioners) who can diagnose and treat low acuity, high-incidence conditions at a distance, thus reducing potentially avoidable Emergency Department visits and associated costs. This telehealth clinic model receives reimbursement from the regional coordinated care organizations (CCO). This session will explore the model, the role of CHCs and the experience to date with patient satisfaction and cost savings to the CCO.Learning Objectives1. Explain the contracting options for Medicaid CCO. 2. Discuss EMTALA compliance for telemedicine community care clinics in a hospital setting. 3. Describe the scope of services and integration with community resources in community care clinics.Presenters: Michael Young, MD, and Michelle Wernert, Provi-dence Immediate Care Clinics

48 - Collaborative Models for Improving Community HealthTrack: Policy/EnvironmentCEUs: 1.5 CPEIn order to keep pace and address barriers to care faced by under-served populations, health centers must engage in coordinated efforts with other community safety net providers. Collaborations can help reduce duplication of efforts, ensure consistent mes-saging, improve referral processes, and minimize lapses in health coverage and care. More importantly, collaborations can increase the capacity of health centers and safety net organizations to pro-vide access to quality, comprehensive care. In this session, Health Outreach Partners (HOP) will present three types of collabora-tions, including coalitions, partnerships, and referral networks. The workshop will cover effective strategies to engage partners and communities and examples of successful collaborations. Through large group discussions and small group activities, participants will explore how they can effectively use collaborations to address the needs of the populations they serve. Learning Objectives1. Describe three types of collaborations relevant to outreach programs at community health centers. 2. Identify at least two effective collaboration strategies. 3. Effectively build relationships with existing or potential community partners.Presenters: Megan O’Brien, Health Outreach Partners; Kelly Volkmann, Benton County Health Services Washington Casualty Company 800.772.1201 www.coverys.com

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49 - Beyond Benchmarking - Robust Use of Data Track: FiscalCEUs: 1.5 CPEThis session will go beyond looking at just financial performance. CliftonLarsonAllen will partner with Northwest Human Services (NWHS) to demonstrate the impact of strategic planning before NWHS makes decisions. The session will emphasize the importance of connecting the organization’s financial information with the long-range strategic plan through the use of CLA Intuition. The model presents an interactive visual tool to assist organizations as they react and respond in real time to the opportunities and challenges they see — or maybe don’t see — on the horizon.Learning Objectives1. Learn strategies to evaluate organizational risks and opportunities.2. Explore techniques and approaches to prioritizing capital needs in your organization.3. Identify important lessons, key takeaways and potential pitfalls through a case study of an FQHC that recently completed capital and strategic planning.Presenters: Dan Frein, Matt Borchardt and Kyla Delgado, CLA, and Bob Edwards, Northwest Human Services

50 - Outreach and Enrollment National Updates Lunch Ted Henson, NACHC; Ezra Watland, Enroll America; Dave Chandra, CBPP; Jessica Kendall, Families USA and Priya Helweg, CMS

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